Diagnosis and treatment of primary splenic tumor: an analysis of 63 cases
10.3760/cma.j.issn.1007-8118.2010.10.016
- VernacularTitle:原发性脾肿瘤63例诊治分析
- Author:
Juan YU
;
Chunfan TONG
;
Huikai LI
;
Qiang LI
- Publication Type:Journal Article
- Keywords:
Splenic neoplasm;
Diagnosis;
Therapy
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(10):761-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in diagnosis and treatment of primary splenic neoplasm (PSN) to promote understanding of the disease. Methods The clinical data of all admitted patients with PSN treated in this hospital from February 1989 to February 2004 were retrospectively analyzed. Results A total of 63 patients were treated by surgery and pathologically confirmed as PSN. Twenty-one patients were treated by splenectomy alone. Twenty-seven patients underwent distal pancreatectomy and splenectomy. Fifteen patients received splenectomy combined with excision of tumor, the 5-year survival rate was 35.9%(15/42). Conclusion PSN should be diagnosed mainly according to clinical manifestations, image examination, and fine needle aspiration biopsy. CT and angiography play an important role in the identification of benign and malignant splenic mass. Early diagnosis, radical resection and comprehensive treatment are important for improving the prognosis of PSN.
